| NPI | 1982998159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANABELL DIAZ Practice Manager 336-676-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 200100363) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2020-02-05 |